9996886

Insurance Claim Capitation and Predictive Payment Modeling

PublishedJune 12, 2018
Assigneenot available in USPTO data we have
Technical Abstract

Patent Claims
19 claims

Legal claims defining the scope of protection, as filed with the USPTO.

1

1. A system for efficiently using computing resources to process insurance claims, comprising: a processor; a non-transitory computer-readable medium storing instructions that, when executed by the processor, cause the system to: store, in the non-transitory computer-readable medium, first data representing a model, wherein the model associates a first set of loss attributes of a plurality of loss attributes with a plurality of multipliers and associates a second set of loss attributes of the plurality of loss attributes with a plurality of costs; receive, via a communication network, second data that comprises information about a vehicle and that comprises vehicle sensor data generated by a sensor device of the vehicle; select, based on the second data, at least a first loss attribute from the first set of loss attributes and at least a second loss attribute from the second set of loss attributes; determine a capitated cost of repair of the vehicle based on one or more of the plurality of multipliers associated with the at least the first loss attribute and based on one or more of the plurality of costs associated with the at least the second loss attribute; identify one or more factors of a customer associated with the vehicle to create a statistical model with the one or more factors; predict, based on the statistical model in response to a first notice of loss, whether the customer associated with the vehicle is likely to allow an insurance company to manage repair of the vehicle; and transmit a payment to a repair facility responsive to a determination that the customer associated with the vehicle has accepted an offer transmitted to the customer, wherein the offer is transmitted upon a prediction that the customer will let the insurance company manage the repair and wherein the payment includes an amount based on the capitated cost.

2

2. The system of claim 1 , wherein the non-transitory computer readable medium stores instructions that, when executed by the processor, further cause the system to: initiate, at the repair facility, repair of the vehicle for the capitated cost.

3

3. The system of claim 1 , wherein determination of the capitated cost of repair of the vehicle comprises determining the capitated cost of repair of the vehicle without inspecting actual damage to the vehicle.

4

4. The system of claim 1 , wherein the non-transitory computer readable medium stores instructions that, when executed by the processor, further cause the system to: receive third data from the repair facility indicating an actual cost of repair; and revise the model based on the third data.

5

5. The system of claim 1 , wherein determination of the capitated cost of repair of the vehicle is performed in response to a first notice of loss of an insurance claim for the vehicle.

6

6. The system of claim 1 , wherein the sensor device comprises a sensor and an on-board computing device communicatively coupled with the sensor.

7

7. The system of claim 1 , wherein the sensor device comprises an accelerometer of the vehicle and the vehicle sensor data comprises acceleration data in accordance with a measurement of the accelerometer.

8

8. The system of claim 1 , wherein a determination of the capitated cost of repair of the vehicle comprises determining the capitated cost of repair of the vehicle based on the second data and historical costs.

9

9. The system of claim 1 , wherein the sensor device comprises a global positioning system sensor of the vehicle and the vehicle sensor data comprises data indicating one or more locations of the vehicle.

10

10. The system of claim 1 , further comprising the sensor device of the vehicle.

11

11. An apparatus for efficiently using computing resources to process insurance claims, comprising: a processor; a non-transitory computer-readable medium storing instructions that, when executed by the processor, cause the apparatus to: store, in the non-transitory computer-readable medium, first data representing a model, the model associating one or more first loss attributes with a plurality of multipliers and associates one or more second loss attributes with a plurality of costs; receive, via a communication network, vehicle sensor data that comprises information about a vehicle and is generated by a sensor device of the vehicle; select, based on the vehicle sensor data, a first loss attribute from the one or more first loss attributes and at least a second loss attribute from the one or more second loss attributes; determine a capitated cost of repair of the vehicle based on the plurality of multipliers associated with the first loss attribute and based on one or more of the plurality of costs associated with the second loss attribute; identify one or more factors of a customer associated with the vehicle to create a statistical model with the one or more factors; transmit, to the customer, responsive to a prediction that the customer associated with the vehicle is likely to allow an insurance company to manage repair of the vehicle, an offer to repair the vehicle, wherein the prediction is generated based on the statistical model in response to a first notice of loss; and transmit a payment to a repair facility responsive to a determination that the customer associated with the vehicle has accepted an offer transmitted to the customer.

12

12. The apparatus of claim 11 , wherein the non-transitory computer readable medium stores instructions that, when executed by the processor, further cause the apparatus to: initiate, at the repair facility, repair of the vehicle for the capitated cost.

13

13. The apparatus of claim 11 , wherein determination of the capitated cost of repair of the vehicle comprises determining the capitated cost of repair of the vehicle without inspecting actual damage to the vehicle.

14

14. The apparatus of claim 11 , wherein the non-transitory computer readable medium stores instructions that, when executed by the processor, further cause the apparatus to: receive third data from the repair facility indicating an actual cost of repair; and revise the model based on the third data.

15

15. The apparatus of claim 11 , wherein determination of the capitated cost of repair of the vehicle is performed in response to a first notice of loss of an insurance claim for the vehicle.

16

16. The apparatus of claim 11 , wherein the sensor device comprises a sensor and an on-board computing device communicatively coupled with the sensor.

17

17. The apparatus of claim 11 , wherein the sensor device comprises an accelerometer of the vehicle and the vehicle sensor data comprises acceleration data in accordance with a measurement of the accelerometer.

18

18. The apparatus of claim 11 , wherein a determination of the capitated cost of repair of the vehicle comprises determining the capitated cost of repair of the vehicle based on the vehicle sensor data and historical costs.

19

19. The apparatus of claim 11 , wherein the sensor device comprises a global positioning system sensor of the vehicle and the vehicle sensor data comprises data indicating one or more locations of the vehicle.

Patent Metadata

Filing Date

Unknown

Publication Date

June 12, 2018

Inventors

Randall Hanson
Robert H. Johnson
Kurt M. Stricker
Clint J. Marlow

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Insurance Claim Capitation and Predictive Payment Modeling — Randall Hanson | Patentable